Nice, Keith Byron

Nice, Keith Byron is an sole proprietor health care provider with primary practice located at 2603 Holly Hill St , Burlington NC 27215-5156. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Nice, Keith Byron can be contacted via phone (336) 228-1766.

Contact Information

Primary practice address
2603 Holly Hill St Burlington NC 27215-5156
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1504 North Carolina

Profile Details

NPI number 1144350216
LBN Legal business name Nice, Keith Byron
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2007
Last updated Jan 4th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144350216 NPPES
North Carolina MEDICAID 8909429

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